4.6

Question 1

What are 5 conditions that cause vaginal bleeding in the first trimest

Answer 1

Current IUP with subchorionic fluid collection; failed/ing IUP; Ectopic; preg of unknown location; cervical/vaginal/uterine preg

Question 2

define: Anembryonic preg

Answer 2

gest sac >25mm w/o embryonic tessues (yolksace or embryo)

Question 3

define: Embryonic demise

Answer 3

embryo >7mm w/o cardiac activity; “missed abortion”

Question 4

where does a subchorionic hemorr occur?

Answer 4

b/n the chorion and uterine wall

Question 5

define: threatned abortion

Answer 5

bleeding before 20wks w/ embryo w/ cardiac activity and closed cervix. inevitable abortion is cervix dilated

Question 6

3 risk factors for ectopic preg

Answer 6

PID, prior adnexal surgery, IUD… think sticky or injured tube

Question 7

what labs would you order for vaginal bleeding

Answer 7

CBC, beta HcG, coag studies, blood type w/ Rh (ALWAYS Rh!!!)

Question 8

what labs are 100% indicative of non-viable preg?

Answer 8

low progest with abnormal rising beta Hcg

(normal: beta hcg should double every 48hrs; progest >25 (

Question 9

At what level of betaHCG is an IUP seen in TVUS?

Answer 9

> 2000 beta Hcg, if we cant see and we get abnorm rising test twice then ectopic

Question 10

how is a failing IUP managed vs an ectopic?

Answer 10

failing IUP: expectant management, surg/med

ectopic: prompt med/surg